BRENDAN MICHAEL RAY DPM
NPI 1023641115
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Brendan Ray's NPI number?

The NPI number for Brendan Ray is 1023641115. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Q: What is Brendan Ray's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brendan Ray was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 17, 2020PECOS Enrolled

10122 E 10TH ST STE 230, INDIANAPOLIS, IN 46229(317) 355-7356 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2023, Feb 17, 2020 (2 updates tracked since 2020).

On this page

About Brendan Michael Ray Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDAN MICHAEL RAY DPM (NPI 1023641115) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (41000475A) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alameda.

NPPES Registry Identity

NPI1023641115

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRENDAN MICHAEL RAYCredential: DPM

Location Address10122 E 10TH ST STE 230Indianapolis, IN 46229-2664

Mailing Address10122 E 10th St Ste 230Indianapolis, IN 46229-2664 · (317) 355-7356

Phone(317) 355-7356

Sole ProprietorNo

Enumeration DateFebruary 17, 2020

Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration

NPPES CertifiedJuly 11, 2023

✔ NPI 1023641115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IN · 41000475A

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10122 E 10TH ST STE 230, Indianapolis, IN 46229

Open in Google Maps ↗

Secondary Practice Location 1

Location 1535 Buena Vista Ave Apt 216Alameda, CA 94501-2054 · Phone (219) 742-7608

Other Identifiers 1

Medicaid300077951IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendan Michael Ray Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TASSAWAR FAROOQ DPM

Student in an Organized Health Care Education/Training Program